论曰疝者痛也，本由寒气内积，阳衰阴盛不得散释，寒邪因得攻击，或上抢心，或腹内
刺，发即俱痛，故名寒疝心腹痛也。
治寒疝心腹痛，胸胁支满，不下食，汗出呕逆，人参汤方
人参 白茯苓（去黑皮） 槟榔（锉） 木香 芍药 芎 当归（切焙） 桂（去粗
皮） 青
橘皮（汤浸去白焙各一两）
上九味，粗捣筛 每服三钱匕，水一盏，煎至七分，去滓温服，不拘时。
治寒疝，心腹痛，柴胡汤方
柴胡（去苗四两） 大枣（去核焙六枚） 黄芩（去心） 人参 甘草（炙锉） 半夏
（汤洗去滑
生姜汁制） 桂（去粗皮） 芍药（各一两半）
上八味，粗捣筛，每服三钱匕，水一盏，生姜一枣大切，煎至七分，去滓温服不拘时。
治寒疝心腹痛，或逆抢心烦满，不得卧恶风，惊惕不食，变发寒热，吴茱萸丸方
吴茱萸（汤洗焙炒一两） 细辛（去苗叶） 芍药 柴胡（去苗） 旋复花 黄芩（去
黑心）
紫菀（去苗土） 人参 白术 白茯苓（去黑皮） 干姜（炮） 桂（去粗皮） 附子（炮
裂去皮脐）
上一十六味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，至三十丸，温酒下不拘时。
治寒疝、心腹痛不可忍，汗出闷绝，椒附汤方
蜀椒（去目并闭口炒出汗二百粒） 附子（炮裂去皮脐一枚） 粳米（半盏） 干姜（炮
半两）
上六味， 咀如麻豆，每服五钱匕，水一盏半，入生姜半分切，枣二枚劈破，煎至一
盏，去滓温服，空心食前。
治寒疝心腹痛，附子丸方
附子（炮裂去皮脐二两） 桃仁（去皮尖双仁别研膏三两） 蒺藜子（炒去角一升）
上三味，捣研为末，炼蜜丸如梧桐子大，每服二十丸，温酒下，不拘时。
治寒疝心腹痛，汗出厥冷，地黄汤方
生干地黄（焙三两） 甘草（炙） 白茯苓（去黑皮） 人参 当归（切焙各二两） 羊
肉（去
脂切三斤）
上六味，前五味细锉，将羊肉用水二斗，煮取汁一斗，去羊肉入诸药，煮取七升，入
葱白一把切，枣十四枚劈破，再煮取六升，绞去滓，每温服一盏，不拘时。
治寒疝心腹痛里急，当归汤方
当归（切三两） 生姜（切五两） 羊肉（去脂膜切作片一斤）
上三味，以水一斗，煮取五升，去滓，每温服一盏，不拘时，日三夜二。
论述说：疝病就是疼痛，根本原因是寒气在体内积聚，阳气衰弱、阴气过盛而无法消散，寒邪因此得以侵袭人体，有时向上冲犯心脏，有时在腹部内刺痛，发作时全身都痛，所以称为寒疝心腹痛。
治疗寒疝心腹痛，伴有胸胁部支撑胀满，无法进食，出汗且呕吐逆气，用人参汤方：
人参、白茯苓（去除黑色外皮）、槟榔（锉碎）、木香、芍药、川芎、当归（切片焙干）、桂枝（去除粗糙外皮）、青橘皮（用热水浸泡后去除白色果皮并焙干，各一两）。
以上九味药，粗捣筛碎，每次服用三钱匕，用水一盏，煎煮至七分水量，滤去药渣，温服，不限时间。
治疗寒疝，心腹痛，柴胡汤方：
柴胡（去除苗四两）、大枣（去核焙干六枚）、黄芩（去除中心部分）、人参、甘草（炙烤后锉碎）、半夏（用热水洗去滑腻，用生姜汁炮制）、桂枝（去除粗糙外皮）、芍药（各一两半）。
以上八味药，粗捣筛碎，每次服用三钱匕，用水一盏，生姜切如枣大小一块，煎煮至七分水量，滤去药渣，温服，不限时间。
治疗寒疝心腹痛，或者气逆上冲导致心烦胀满，不能安卧，怕风，惊恐不安，不想吃东西，进而引发寒热交替症状，吴茱萸丸方：
吴茱萸（用热水洗后焙炒一两）、细辛（去除苗叶）、芍药、柴胡（去除苗）、旋覆花、黄芩（去除黑色中心部分）、紫菀（去除苗土）、人参、白术、白茯苓（去除黑色外皮）、干姜（炮制）、桂枝（去除粗糙外皮）、附子（炮制裂开，去皮去脐）。
以上十六味药，捣碎过罗成粉末，用炼蜜制成梧桐子大小的丸药，每次服用二十丸到三十丸，用温酒送服，不限时间。
治疗寒疝、心腹痛剧烈难以忍受，出汗且昏厥闷绝，椒附汤方：
蜀椒（去除目和闭口者，炒至出油二百粒）、附子（炮制裂开，去皮去脐一枚）、粳米（半盏）、干姜（炮制半两）。
以上六味药，切碎如麻豆大小，每次服用五钱匕，用水一盏半，加入切碎的生姜半分，劈破的大枣二枚，煎煮至一盏水量，滤去药渣，温服，空腹饭前服用。
治疗寒疝心腹痛，附子丸方：
附子（炮制裂开，去皮去脐二两）、桃仁（去皮尖，双仁的单独研成膏三两）、蒺藜子（炒去刺一升）。
以上三味药，捣碎研成粉末，用炼蜜制成梧桐子大小的丸药，每次服用二十丸，用温酒送服，不限时间。
治疗寒疝心腹痛，出汗且四肢厥冷，地黄汤方：
生干地黄（焙干三两）、甘草（炙烤）、白茯苓（去除黑色外皮）、人参、当归（切片焙干，各二两）、羊肉（去除脂肪切成三斤）。
以上六味药，前五味药细切，将羊肉用二斗水煮取一斗汁，去掉羊肉放入各种药物，煮取七升，加入一把切碎的葱白，十四枚劈破的大枣，再煮取六升，绞去药渣，每次温服一盏，不限时间。
治疗寒疝心腹痛伴有腹部拘急紧缩感，当归汤方：
当归（切片三两）、生姜（切片五两）、羊肉（去除脂膜切成片一斤）。
以上三味药，用水一斗，煮取五升，滤去药渣，每次温服一盏，不限时间，白天三次，夜间两次。
Discourse states: Shan disease (abdominal pain syndrome) refers to pain, which fundamentally arises from the internal accumulation of cold pathogen. When yang qi is deficient and yin qi is excessive, it fails to dissipate, allowing the cold pathogen to attack. It may rush upward to affect the heart or cause stabbing pain within the abdomen. Upon onset, pain occurs throughout, hence it is named Cold Shan Heart and Abdominal Pain.
For treating Cold Shan Heart and Abdominal Pain accompanied by distending fullness in the chest and hypochondrium, inability to eat, sweating, and vomiting with rebellious qi, use Ren Shen Tang (Ginseng Decoction):
Ren Shen (Panax Ginseng Radix et Rhizoma), Bai Fu Ling (Poria), Bin Lang (Areca Seed), Mu Xiang (Aucklandiae Radix), Shao Yao (Paeoniae Radix), Xiong Qiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix, sliced and dried), Gui Zhi (Cinnamomi Ramulus, bark removed), Qing Ju Pi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, and dried). Each weighs one liang.
The above nine ingredients are coarsely pounded and sifted. For each dose, take three qian bi, add one zhan of water, and decoct until seven-tenths remains. Strain and take warm, at any time.
For treating Cold Shan, Heart and Abdominal Pain, use Chai Hu Tang (Bupleuri Decoction):
Chai Hu (Bupleuri Radix, stems removed, four liang), Da Zao (Jujubae Fructus, pits removed and dried, six fruits), Huang Qin (Scutellariae Radix, core removed), Ren Shen (Panax Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and crushed), Ban Xia (Pinelliae Rhizoma, washed in hot water to remove slipperiness, processed with fresh ginger juice), Gui Zhi (Cinnamomi Ramulus, bark removed), Shao Yao (Paeoniae Radix). Each weighs one and a half liang.
The above eight ingredients are coarsely pounded and sifted. For each dose, take three qian bi, add one zhan of water and one piece of fresh ginger cut as large as a jujube. Decoct until seven-tenths remains. Strain and take warm, at any time.
For treating Cold Shan Heart and Abdominal Pain, where qi rebels upward causing mental restlessness and fullness, inability to lie down, aversion to wind, fright, anorexia, and subsequent alternating chills and fever, use Wu Zhu Yu Wan (Evodiae Pilula):
Wu Zhu Yu (Evodiae Fructus, washed in hot water, dried, and stir-fried, one liang), Xi Xin (Asari Radix et Rhizoma, stems and leaves removed), Shao Yao (Paeoniae Radix), Chai Hu (Bupleuri Radix, stems removed), Xuan Fu Hua (Inulae Flos), Huang Qin (Scutellariae Radix, black core removed), Zi Wan (Adenophorae Radix, stems and soil removed), Ren Shen (Panax Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Fu Ling (Poria), Gan Jiang (Zingiberis Rhizoma, processed), Gui Zhi (Cinnamomi Ramulus, bark removed), Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed).
The above sixteen ingredients are pounded and sieved into powder. Mix with refined honey to form pills the size of sophora seeds. Take twenty to thirty pills per dose with warm wine, at any time.
For treating severe, unbearable Cold Shan Heart and Abdominal Pain with sweating and syncope, use Jiao Fu Tang (Sichuan Pepper and Aconite Decoction):
Shu Jiao (Sichuan Peppercorn, eyes and closed-mouth ones removed, stir-fried until oil appears, two hundred grains), Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed, one root), Jing Mi (Oryza Sativa Germen, half a zhan), Gan Jiang (Zingiberis Rhizoma, processed, half a liang).
The above six ingredients are chopped like hemp or bean seeds. For each dose, take five qian bi, add one and a half zhan of water, half a fen of chopped fresh ginger, and two jujubes split open. Decoct until one zhan remains. Strain and take warm on an empty stomach before meals.
For treating Cold Shan Heart and Abdominal Pain, use Fu Zi Wan (Aconite Pilula):
Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed, two liang), Tao Ren (Persicae Semen, skin and tips removed, double-kernel ones separately ground into paste, three liang), Ji Li Zi (Tribuli Fructus, stir-fried and thorns removed, one sheng).
The above three ingredients are pounded and ground into powder. Mix with refined honey to form pills the size of sophora seeds. Take twenty pills per dose with warm wine, at any time.
For treating Cold Shan Heart and Abdominal Pain with sweating and cold extremities, use Di Huang Tang (Rehmanniae Decoction):
Sheng Gan Di Huang (Rehmanniae Radix Preparata, dried, three liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted), Bai Fu Ling (Poria, black skin removed), Ren Shen (Panax Ginseng Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix, sliced and dried, each two liang), Yang Rou (Mutton, fat removed, cut into pieces, three jin).
The above six ingredients: finely chop the first five. Boil the mutton in two dou of water to extract one dou of broth. Remove the mutton and add the herbs. Decoct until seven sheng remain. Add one bunch of chopped scallion whites and fourteen split jujubes. Decoct again until six sheng remain. Strain. Take one zhan warm per dose, at any time.
For treating Cold Shan Heart and Abdominal Pain with abdominal urgency and tension, use Dang Gui Tang (Angelicae Sinensis Decoction):
Dang Gui (Angelicae Sinensis Radix, sliced, three liang), Sheng Jiang (Zingiberis Rhizoma Recens, sliced, five liang), Yang Rou (Mutton, membrane removed, sliced, one jin).
The above three ingredients are boiled in one dou of water to extract five sheng. Strain. Take one zhan warm per dose, at any time. Three times during the day and twice at night.